Cuba (CU)
Cuba is a unique socialist island nation of 11 million people in the Caribbean — a country of vintage American cars, world-famous cigars, Havana salsa, colonial architecture, and extraordinary natural beauty.
Healthcare in Cuba
Cuba has a state-run, universal healthcare system that provides free medical care to all Cuban citizens and residents. The system is based on the Soviet Semashko model and is internationally recognised for its achievements in primary care, preventive medicine, life expectancy, and doctor-to-patient ratios. However, the system faces severe resource constraints in 2026: medicine shortages, equipment deterioration, and staff emigration (an estimated 20,000+ Cuban doctors and nurses have emigrated since 2020) have significantly reduced service quality. For foreigners, a parallel paid system — Servimed / Asistur — provides higher-quality care at international prices.
Primary care infrastructure is excellent by developing-world standards. Life expectancy (~79 years) and infant mortality rates compare favourably with developed nations. However, secondary and tertiary care quality has declined sharply since 2020 due to medicine shortages and doctor emigration. Foreigners should not rely on the free Cuban system for anything beyond emergency first-contact care.
Public healthcare: SNS — Sistema Nacional de Salud / Servicio Médico Estatal
National Health System (free state healthcare for Cuban citizens)
- Primary care through Consultorios del Médico de la Familia (family doctor neighbourhood posts)
- Polyclinics (Policlínicos) for outpatient specialist care
- Hospital care (hospitales provinciales and hospital institutes)
- Preventive medicine and vaccination programmes
- Dental care (basic)
- Maternal and child healthcare
- Mental health services
- Not available to tourists and foreign nationals without residency
- Many imported medicines are unavailable even for Cuban patients
- Medical equipment is often outdated or non-functional
Private healthcare: Servimed Internacional / Clínica Central Cira García
Accessing care
Foreign nationals should register with Clínica Cira García (Havana) or the nearest Servimed clinic in their area. No fixed GP registration required — walk-in appointments are available. Bring your passport and insurance documents. For medical emergencies, call Asistur: +53 7 866-4499 (24/7 international medical assistance).
Servimed provides direct access to specialists (cardiology, orthopaedics, ophthalmology, dermatology, neurology, etc.) — no GP referral required. Availability of specialists varies by location — Cira García in Havana has the widest range. For highly specialized care, some patients fly to Miami or Mexico City.
For life-threatening emergencies, call 104 (ambulance) — free. All Cuban hospitals are required to provide emergency stabilization regardless of nationality or insurance status. After stabilization, you will be transferred to Servimed or billed for services. Asistur can coordinate evacuation if needed: +53 7 866-4499.
Clínica Cira García is open 24 hours, 7 days a week. For other Servimed locations, confirm hours. Outside Havana, the nearest public hospital emergency room (Urgencias) is the only 24/7 option — you will be seen and billed as a foreigner.
Prescriptions are issued by Servimed doctors. Medications available at Servimed pharmacies (better stocked than public farmacias) and at Farmacia Internacional (CIMEX network in tourist areas). Many Western drugs are unavailable — if you take regular medication, bring a 3–6 month supply from home.
Dental services available at Clínica Cira García and some Servimed affiliates. Basic dental care: $30–100 USD. Major work: $200–1,000 USD depending on procedure. Quality is good at Servimed facilities. Outside Havana, dental care is more limited — plan major dental needs before or after your Cuba stay.
Mental health services for foreigners are very limited in Cuba. Cira García has a psychiatry department but primarily for crisis management. English-speaking psychologists or therapists are extremely rare. Most long-term expats use online therapy platforms (BetterHelp, Talkspace) when internet access permits. Cuba's own public mental health system is free for citizens but underfunded.
Maternity care for foreigners is handled through Servimed. Cuba has excellent public maternity outcomes for Cuban citizens (very low infant mortality). For foreigners, Cira García provides prenatal care and deliveries. If you plan to give birth in Cuba, confirm your insurance covers international maternity costs. Many foreign women in Cuba choose to travel home for delivery.
Expat-specific advice
- Obtain comprehensive travel insurance covering Cuba BEFORE arrival — mandatory for tourist entry and essential for all stays
- Register with Clínica Cira García on arrival: Calle 20 No. 4101 esq. 41, Miramar, Havana. Tel: +53 7 204-2811
- Save the Asistur emergency number: +53 7 866-4499 (24/7 medical and travel assistance)
- Bring a full supply of all prescription medications from home — assume they will not be available in Cuba
- Bring a basic first aid kit including antiseptic, bandages, rehydration salts, anti-diarrhoeal, and any over-the-counter medications you regularly use
- Confirm your insurance provider has a direct billing arrangement with Servimed or has pre-authorization procedures — large unexpected bills are common
Pharmacies (Farmacia)
- Paracetamol/Acetaminophen (limited availability)
- Aspirin
- Antacids
- Oral rehydration salts
- Antihistamines
- Basic wound care supplies
Typical costs
| GP visit (with insurance) | USD 0 if travel insurance covers Servimed directly; confirm pre-authorisation with insurer before visit |
| GP visit (private pay) | USD 25–60 at Servimed clinics |
| Specialist visit | USD 50–150 at Servimed |
| Emergency visit | USD 50–200 stabilisation at Servimed; overseas evacuation is far more costly |
| MRI scan | USD 80–200+ at Servimed where available; complex imaging may require overseas transfer |
| Prescription average | Highly variable; bring a 3–6 month supply from home as many Western medicines are unavailable in Cuba |
| Dental check-up | USD 30–100 at Servimed |
| Baby delivery | USD 2,000–10,000+ at Servimed; many expats choose to deliver abroad |
Healthcare
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